Jumabike pondered for a long time, then looked at the ward number, and it was Zhu Qianqian who admitted him. Isn't he stupid? Zhu Qianqian couldn't even spot a case of tuberculosis? He didn't believe it.
"It has been three days of treatment, and some examinations were only done in the morning. Director, look at this~~" Zhu Qianqian said pretending to be pitiful.
"Since everything has been taken in, it would be strange if the patient doesn't cause trouble if we drive him out now. But Dr. Zhu, I don't have to pursue it this time, but this is just a case. I tell you to take care of your patient status, don't wander around, and quickly drain the pleural effusion. Okay, after a course of treatment, I will be discharged as soon as possible." After saying that, he threw the medical records on the table.
Zhu Qianqian quickly nodded and bowed, and said with a hint of coquettishness: "Director, don't worry, it won't happen again in the future. This is also an accident. I know you have the softest heart." After saying this, she left the director's office, delighted.
Get rid of the director, and no one will pursue this matter. As long as others and other patients in the ward don't know about it. It’s not like tuberculosis has never been treated.
People from the temperate zone have been coming to the frontier for seven or eight years. They make money every year and then go back to celebrate the New Year. As a result, they get tuberculosis for some reason. The diagnosis has been confirmed at the county hospital. A transfer order was issued for him to be transferred to a tuberculosis hospital.
He won't go to an infectious hospital! Are you kidding me? For him, being admitted to a tertiary hospital was very simple. He just had to see if the doctor could open his eyes. But when he met Zhu Qianqian, he didn’t know if it was considered open or not!
He was very cooperative with the doctor's decisions and didn't do anything. Zhu Qianqian told him not to leave the ward randomly. He never left the ward. All his meals were brought from the canteen.
Tuberculosis is a disease that bullies the weak and fears the strong. When a person is infected, if the person is strong and has a strong immunity, it will quietly lurk and will not be passed down from generation to generation. But once this person has physical problems and his immunity declines, he starts to become arrogant, and it is still a lingering disease. Drugs and chemotherapy cannot completely cure it, and he may jump out to rebel at some point.
Moreover, the healing effect of this medicine is getting worse each time, and this thing can also evolve itself! We have become immune to many drugs from more than ten years ago, and their effectiveness has been greatly reduced.
Zhu Qianqian protected herself very closely with a double-layer mask, and Zhang Fan didn't know if she would feel suffocated. Zhu Qianqian must disinfect and wash her hands after entering the ward. She does this very carefully and meticulously.
During the ward rounds in the morning, Jumabike led the department doctors and head nurses to ward rounds.
"Stop the antibiotics in bed 18. It's been two weeks. If you lose again, mold will be infected. I have repeatedly emphasized rational use and reasonable use, and don't use it arbitrarily. Antibiotics are not a panacea." After checking a patient , he pointed out what was wrong, but he was more respectful to the doctors below and only said it after leaving the ward.
During ward rounds, family members are not allowed to stay in the ward. Only one family member of a critically ill patient can stay in the ward and cannot wander around. "Director, I know, but he was still coughing a little, so I hesitated and didn't stop."
"Don't be afraid of coughing. You must combine it with the examination and trust your physical examination. This is the best weapon and must be used. When I was abroad, this was the best friend of the respiratory doctor. It is not an MRI or a large-scale Check the instrument." After speaking, he held up the stethoscope and said to the subordinate doctor.
This has become a habit, and he often talks about his studies abroad. At the end of the ward round, the special ward was left. He said to everyone: "Okay, let's go and get to work. Revise all the medical orders that need to be revised, actively adjust the medical orders, and use medications rationally." After that, he turned and left. .
The head nurse was confused, wasn't there another ward, so she hurriedly caught up with Jumabek and said, "There is another patient at the director's side, who was admitted by Dr. Zhu on Friday."
"I know that a patient she admitted without permission has been under treatment for three days. What else can you say now? Tell the nurses to protect yourself. It's not good for me to go on ward rounds." Jumabek told the nurse. Chang said.
"Tuberculosis?" the head nurse whispered.
"kindness!"
"Okay, I know!"
"Also, please don't spread this matter about Dr. Zhu. We are all doctors in the same department. You guys should work hard after get off work in the evening and try to achieve ultraviolet disinfection every day."
"Okay, director. Don't worry about this." The head nurse returned to the nurse's office worriedly. Standing at the door, he clapped his hands and said, "Everyone, come here. Those who are alive should stop for a moment. I will tell you something."
Zhang Fan was also puzzled. This Zhu Qianqian really had a trick and could actually perform tricks under the nose of the director. Jumabike was also helpless. Zhu Qianqian usually worked hard and listened to him quite a bit. Although he was a little greedy for money, he also needed this kind of subordinates. For him, this was not a big deal.
He shook his head. It was not Zhang Fan's turn to worry about this matter, nor was it his turn to express his opinion. It was useless to say anything! People in temperate zones have a lot of pleural effusion. After a chest X-ray and color ultrasound are done to locate the pleural effusion, a chest puncture is needed to drain out the pleural effusion.
"Dr. Zhang, you surgeons should be very good at this. Physicians are still a little worse than surgeons. And men's hands-on ability is a little stronger than women." Zhu Qianqian didn't want to do it. She wouldn't go if she could. Let Zhang Fan take his place. If you want to have pleural effusion, just use your words to persuade Zhang Fan.
Zhang Fan smiled helplessly. This Dr. Zhu is really direct. She doesn't participate in any gossip in the department. As long as you don't take her patient's name or interfere with her interests, she will be as quiet as a robot and keep talking. Write and write. He rarely participates in other people's chats and gossips.
If someone robs her of her hospital bed, or someone robs her of her hospital bed, it will be so serious that she can eat you up. She was very cruel. Other doctors who were transferred to other departments without certificates were eaten by her. When they met Zhang Fan, she used words to bully Zhang Fan. Zhang Fan couldn't quarrel with a woman.
Even if they quarrel, they may not be able to get over it. When a patient's family came to copy the medical records, Zhu Qianqian was very busy and asked the family to wait for a while. The family members were not happy and pointed at Zhu Qianqian and said a few curse words, and Zhu Qianqian exploded.
The power of a nuclear bomb erupted from his thin body, and he was scolded from inside the department to the corridor of the department. The family member was a man. He was so anxious after being scolded that he wanted to take action. However, there were security guards from the hospital's security department, so he could only be scolded. 's speechless.
When pumping pleural effusion, do not pump it too fast, but slowly and little by little. Too fast will cause low-volume hypotension, which can easily lead to shock.
"Are you busy, Dr. Zhang? You have time to go out for a meal. I think a young and promising doctor like you will have a bright future." He chatted with the patient half-understandably.
It's not that Zhang Fan loves to chat, but Zhang Fan has to judge his situation from his tone, because he can't observe his expression from behind.
